Nursing care challenges: homosexual psychiatric patients.

1. Stereotypes of homosexual behavior may negatively affect the nursing care for homosexual patients. Nurses must closely examine their attitudes toward homosexuals. To be able to provide quality care to homosexual patients, nurses must feel comfortable and fully aware of their own attitudes toward sexuality and homosexuality. 2. Nurses stand in a unique position to foster acceptance of homosexuality by assuming the advocacy role and addressing the stereotypes regarding homosexuality for both individual clients and the community. 3. Nurses need to provide an atmosphere of acceptance for homosexual patients by creating an environment where sexuality can be discussed in nonthreatening ways.     

Attitudes toward lesbians, gay men, bisexual women, and bisexual men in Germany

Attitudes toward lesbians, gay men, bisexual women, and bisexual men were assessed in a national representative sample of 2,006 self-identified heterosexual women and men living in Germany. Replicating previous findings, younger people held more favorable attitudes than older people; women held more favorable attitudes than men; and men held more favorable attitudes toward female than male homosexuality, whereas women did not differentiate. However, women held more favorable attitudes toward homosexuals than toward bisexuals, whereas men did not differentiate. Knowing a homosexual person was an important predictor of attitudes, as was political party preference. Both same-sex and opposite-sex sexual attraction were substantially related with attitudes. Our findings support the notion that attitudes toward lesbians, gay men, bisexual women, and bisexual men are related but distinct constructs.     

Attitudes toward lesbians,gay men,bisexual women,and bisexual men in Germany

Attitudes toward lesbians, gay men, bisexual women, and bisexual men were assessed in a national representative sample of 2,006 self‐identified heterosexual women and men living in Germany. Replicating previous findings, younger people held more favorable attitudes than older people; women held more favorable attitudes than men; and men held more favorable attitudes toward female than male homosexuality, whereas women did not differentiate. However, women held more favorable attitudes toward homosexuals than toward bisexuals, whereas men did not differentiate. Knowing a homosexual person was an important predictor of attitudes, as was political party preference. Both same‐sex and opposite‐sex sexual attraction were substantially related with attitudes. Our findings support the notion that attitudes toward lesbians, gay men, bisexual women, and bisexual men are related but distinct constructs.     

Attitude Change among College Students toward Homosexuality

Abstract

Although audio-visual materials are commonly used on college and university campuses, frequently those materials are not evaluated to determine what impact they may have on students' attitudes. The present research compared the effect of three audio-visual programs on attitudes of college students toward homosexuality. The three programs included a film that dealt with prejudice towards numerous groups but not towards homosexuals; a video-tape of a homosexual clergyman who discussed sexual variance with particular emphasis on homosexuality; and two films in which couples were explicitly engaging in homosexual behavior. A control group was used. All groups received a lecture about homosexuality.

Using a two-way analysis of covariance, significant differences were found among the groups. Subjects that watched the film on prejudice and the video-tape of a discussion of homosexuality, as well as the control group, were all significantly more tolerant toward homosexuality than subjects who watched the explicit films. The difference among groups was immediate only. Five weeks after exposure to audio-visual programs, there were no significant differences. There was no significant difference between males and females, either immediately after seeing the programs or five weeks later. Thus, attitudes of college students toward homosexuality can be altered and were not gender specific.     

Black heterosexuals’ attitudes toward lesbians and gay men in the United States

Although the direction and intensity of Black heterosexuals’ attitudes toward homosexuality have been topics for considerable speculation, empirical data from representative samples previously have not been available. In the current article we report findings from a two‐wave telephone survey with a national probability sample of 391 Black heterosexual adults. Results indicated that negative attitudes toward homosexuality are widespread but do not appear to be more prevalent among Blacks than among Whites. Gender differences in Black heterosexuals’ attitudes (men's attitudes toward gay men were more negative than their attitudes toward lesbians or women's attitudes toward gay men) appeared to result primarily from men's greater tendency to regard male homosexuality as unnatural. The single most important predictor of attitudes was the attribution of choice to sexual orientation: Respondents who believed that homosexuality is beyond an individual's control expressed significantly more favorable attitudes toward gay men and lesbians than did respondents who regarded homosexuality as a choice. Consistent with previous research in predominantly White samples, respondents were more likely to express favorable attitudes if they were highly educated, unmarried, politically liberal, registered to vote and not religious, and if they included Blacks in their concept of gay men. In addition, respondents reported more favorable attitudes if they had experienced personal contact with gay men or lesbians, but this was not a significant predictor of attitudes when other variables were statistically controlled. Possible differences between Blacks’ and Whites’ social constructions of sexual orientation are discussed.     

Etiology of Homosexuality and Attitudes Toward Same-Sex Parenting: A Randomized Study

Attribution theory suggests the hypothesis that heterosexuals' attitudes toward homosexual sexual orientation will be more negative when homosexuality is attributed to controllable causes. Our randomized study analyzed (a) whether beliefs about the genetic or environmental etiology of the homosexual sexual orientation can be immediately modified by reading a text and (b) the causal effect of attributions about the controllability (environmental etiology) or noncontrollability (genetic etiology) of homosexual sexual orientation on the rejection of same-sex parenting and their social rights. The sample was composed of 190 Spanish university students with a mean age of 22.07 years (SD = 8.46). The results show that beliefs about the etiology of the sexual orientation could be modified by means of a written text. Furthermore, participants who believed that sexual orientation had a genetic etiology showed greater support for social rights and less rejection of same-sex parenting. However, the effects were detected only when there was a traditional opposition to the family with same-sex parenting. When the opposition was normative, the effect was not statistically significant. Our results can be useful in planning variables for intervention programs designed to foster tolerance toward and normality of sexual diversity.     

Societal relationships and gender role in homosexuals: A cross‐cultural comparison

The proposition that feminine gender role in male homosexuals is a function of societal sex roles and attitudes toward homosexuality, as well as parental factors, was examined by administering tests of gender role, gender role conservatism, and attitudes toward parents to a sample of 176 Swedish and 163 Australian homosexual men. With homosexuality constant, it was found that feminine gender identity was more characteristic of the homosexuals in the more gender‐role rigid and anti‐homosexual society (Australia), independent of differences in perceptions of parents. This was taken to indicate support for the hypothesis that in anti‐homosexual societies with rigid gender roles, opposite‐sex gender identity in homosexuals will be, to some degree, a function of believing that heterosexual relationships are the only appropriate ones, and that individuals who are homosexual will thus validate same‐sex preference by opposite‐sex identification. The findings also support the more general hypothesis that gender role is based on societal, as well as parental, models.     

A Study of Attitudes Towards Gays and Lesbians in the State of Utah,U.S.A.

Abstract

The purpose of this study was to examine Utahans' attitudes towards gay and lesbian people and their civil rights. Utah politics are dominated by the Church of Jesus Christ of Latter Day Saints (the Mormons) and the Republican Party, with membership typically shared by the two. However, Mormon sociocultural values are also distinctively pro-family and companionate. We wondered to what extent caring, warmth, and inclusiveness toward family members mitigated against the doctrinaire injunction to reject homosexuality and, if necessary, to reject family members who were homosexual.

We found that proponents of gay and lesbian civil rights were likely to be personally familiar with gays and lesbians, to have empathetic attitudes about gay and lesbian youth and being out, and to possess a commitment to legal rights for gay and lesbian individuals and families. Opponents of gay and lesbian civil rights were driven by moralistic imperatives about sexuality and the roots of sexual behavior, made a sharp distinction between what they perceived as social privileges and legally mandated rights and were not likely to have had much direct contact with gay and lesbian people. Our results suggest that Utahans indeed appear to be torn, or at best ambivalent, about the religious mandate to condemn homosexuality while at the same time prizing family ties and relationships above other values. For the same reasons, political actions directed at obtaining specific legal rights for gays and lesbians appear to have more support than expected, especially in the realms of partner benefits, employment discrimination, health benefits, and private freedoms. Legal marriage, however, is soundly rejected as a possibility, especially in view of the belief that marriage is sacred and exclusively for heterosexuals.     

A Cross-Cultural Assessment of Familial Factors in the Development of Female Homosexuality

Nonclinical samples of 224 heterosexual and 205 homosexual females were interviewed with regard to their recalled childhood experiences in Brazil, Peru, the Philippines, and the United States. Twelve items were used to examine differences between heterosexual and homosexual females. These are: "normal" family, absent motherlfather, wanner parent, stronger parent, hostile father, hostile mother, detached/distant father, detached/distant mother, seductive mother, seductive father, father's attitude toward sex, mother's attitude toward sex. Seven items produced no significant differences between homosexuals and heterosexuals in any of the four societies. Another five items resulted in some signif~cant differences between these groups; however, these differences were inconsistent in all four societies. Combining the data for all four societies resulted in only one item-the detacheddistant mother-exhibiting signif~cant differences between homosexual and heterosexual groups. It is not clear whether the detachedldistant mother is a cause of or a reaction to emerging homosexuality. On the whole, these cross-cultural data provide little support for the role of familial factors in the development of female homosexual orientation.     

Social Work Students' Attitudes toward Homosexuality and Their Knowledge and Attitudes toward Homosexual Parenting as an Alternative Family Unit: An Australian Study

Attitudes have become increasingly more accepting toward homosexuality, yet negative attitudes toward homosexual parents continue. There appears to be no research specifically examining Australian social work students' attitudes towards homosexuality and homosexual parenting. This article reports on a study of final year social work students in the undergraduate social work programme at one university in the State of Victoria. This study investigated student attitudes to homosexuality, and their knowledge and attitudes toward homosexual parenting as an alternative family unit via the administration of a questionnaire containing a number of scales and questions, some in response to a case vignette involving couples of different sexual orientations (lesbian, gay and heterosexual). It was found that most of the students had liberal attitudes toward homosexuality and homosexual parenting, and had high levels of knowledge about homosexual parenting. Students were generally favourable towards all three couples in the vignettes, but rated lesbian parents followed by gay parents most highly. It was found that the inclusion of the topic of homosexuality within the social work curriculum was extremely minimal. These findings are discussed within the context of previous research. The implications of the findings for curriculum development and directions for future research are also discussed.     

Heterosexuals attitudes toward bisexual men and women in the United States

This paper examines heterosexual adults attitudes toward bisexual men and women using data from a 1999 national RDD survey (N = 1,335). Ratings on 101-point feeling thermometers were lower (less favorable) for bisexual men and bisexual women than for all other groups assessed--including religious, racial, ethnic, and political groups--except injecting drug users. More negative attitudes toward bisexuals were associated with higher age, less education, lower annual income, residence in the South and rural areas, higher religiosity, political conservatism, traditional values concerning gender and sexual behavior, authoritarianism, and lack of contact with gay men or lesbians. White heterosexual women expressed significantly more favorable attitudes than other women and all men. A gender difference was observed in attitudes toward bisexuals and homosexuals: Heterosexual women rated bisexuals significantly less favorably than they rated homosexuals, regardless of gender, whereas heterosexual men rated male targets less favorably than female targets, regardless of whether the target was bisexual or homosexual.     

Homosexualities in the Netherlands

Loving relationships between two men, or between two women, are by no means generally accepted in the Netherlands. Prejudices, mistrust, and aversion on the part of those surrounding them are the daily lot of homosexuals. Young people who are attracted to members of their own sex have understandable difficulties in dealing with this state of affairs. Becoming aware of their own homosexual feelings, looking for contact, building up relationships, developing a measure of self-esteem—all become especially difficult when there is little support, understanding, and no role models for homosexual lifestyles to be found in the immediate environment.In this article we will successively examine the attitudes of the Dutch population toward homosexuality and the living situation of homosexuals in the Netherlands. A more detailed report will be given of a comparative investigation of homosexual and heterosexual boys and girls carried out by the author.     

Promoting tolerance for homosexuality: An evaluation of intervention strategies

This article presents a methodological critique of the few attempts to promote tolerance for homosexuality through education. The d statistic was utilized to assess the extent of attitude change from pre‐ to post‐intervention assessment. With few exceptions, data have been gathered from college students in courses focused on human sexuality. These data suggest that students who complete these courses become less fearful of contact with homosexuals, more tolerant of homosexuals in social roles, and more tolerant of homosexual behavior, although the extent and duration of the changes may be limited. Although some attribute attitude change to the intensiveness of the course, methodological and conceptual problems, including volunteer bias, provide alternative explanations. Further attempts to promote tolerance toward homosexuality must consider differences in attitudes toward gay men and lesbians and the extent to which men and women differ in their level of tolerance toward these groups.     

Heterosexuals' attitudes toward bisexual men and women in the United States

This paper examines heterosexual adults’ attitudes toward bisexual men and women using data from a 1999 national RDD survey (N = 1,335). Ratings on 101‐point feeling thermometers were lower (less favorable) for bisexual men and bisexual women than for all other groups assessed—including religious, racial, ethnic, and political groups—except injecting drug users. More negative attitudes toward bisexuals were associated with higher age, less education, lower annual income, residence in the South and rural areas, higher religiosity, political conservatism, traditional values concerning gender and sexual behavior, authoritarianism, and lack of contact with gay men or lesbians. White heterosexual women expressed significantly more favorable attitudes than other women and all men. A gender difference was observed in attitudes toward bisexuals and homosexuals: Heterosexual women rated bisexuals significantly less favorably than they rated homosexuals, regardless of gender, whereas heterosexual men rated male targets less favorably than female targets, regardless of whether the target was bisexual or homosexual.     

The home situation and the homosexual

This article is concerned with the home situation of the homosexual, as a part of the process which develops homosexuality. An exploratory study was conducted in San Francisco on a sample of the homosexual population. Three hypotheses were examined: there is a positive relationship between the incidence of homosexuality and the unhappy childhood of the homosexual at home; there is a positive relationship between the confusion in sexual role‐playing in early ages, and homosexual behavior; and there is a positive relationship between the presence of homosexual family members and the development of new homosexuals. The data were collected in recorded interviews. Fingings tended to suport the first hypothesis, but did not support the second and third hypothesis.     

Sexual diversity in urban Norwegians

The purpose of this study is to describe homosexual and heterosexual experiences in terms of sexual fantasies, sexual attraction, sexual conduct, and falling in love in an urban Norwegian population. In 1997, a random sample of 5,000 persons (18-49 years) was drawn from the population register in Oslo to participate in a sexual behavior survey. Data collection was carried out by means of postal questionnaires and 45% responded. The results indicated that exclusive homosexuality was rare in the population. One exception was the prevalence of homosexual fantasies in women. Compared to respondents who had had exclusively heterosexual contact, respondents reporting bisexual contacts had a significantly higher number of lifetime sex partners, higher frequency of anal and oral sex and masturbation, and lower age at orgasm and masturbation debut. What significantly separated the groups of exclusive heterosexuals, bisexuals, and exclusive homosexuals were attitudes towards various expressions of sexuality and number of lifetime sex partners.     

Sexual diversity in Urban Norwegians

The purpose of this study is to describe homosexual and heterosexual experiences in terms of sexual fantasies, sexual attraction, sexual conduct, and falling in love in an urban Norwegian population. In 1997, a randam sample of 5,000 persons (18–49 years) was drawn from the population register in Oslo to participate in a sexual behavior survey. Data collection was carried out by means of postal questionnaires and 45% responded. The results indicated that exclusive homosexuality was rare in the population. One exception was the prevalence of homosexual fantasies in women. Compared to respondents who had had exclusively heterosexual contact, respondents reporting bisexual contacts had a significantly higher number of lifetime sex partners, higher frequency of anal and oral sex and masturbation, and lower age at orgasm and masturbation debut. What significantly separated the groups of exclusive heterosexuals, bisexuals, and exclusive homosexuals were attitudes towards various expressions of sexuality and number of lifetime sex partners.     

EXPLAINING COMFORT WITH HOMOSEXUALITY AMONG SOCIAL WORK STUDENTS: THE IMPACT OF DEMOGRAPHIC,CONTEXTUAL, AND ATTITUDINAL FACTORS

While recent research explores the determinants of homophobia among college students, only a few studies look at the perceptions of homosexuals among social work students. Unfortunately these rare studies generally present a modest list of predictor variables or small sample sizes. To address this gap, this research explores the ways in which undergraduate social work students (N=748) from 12 colleges feel about homosexuality. In doing so, the work initially delineates the extent to which future social workers feel comfortable being around gay and lesbian persons. The work then explores the impact of specific social statuses, educational processes, and ideological beliefs. In the end, the role of homosexual peers is emphasized, as are the effects of familial attitudes, the perceived cause of homosexuality, conservative religious maxims, traditional gender role beliefs, and anxieties over AIDS.     

Societal Norms Rather Than Sexual Orientation Influence Kin Altruism and Avuncularity in Tribal Urak-Lawoi,Italian, and Spanish Adult Males

Homosexual males could balance their low fitness by increasing benefits to relatives either through kin-directed altruism or by avuncularity (altruistic behavior toward the children of siblings). Evidence in support of kin selection and avuncularity includes the fact that homosexuals seem to be more empathic and altruistic than heterosexuals. Other studies have not confirmed behaviors that increase kin altruism in homosexuals. We explored altruistic behavior and avuncularity in a sample of 278 subjects, either homosexual or heterosexual, from three populations: Italian, Spanish, and Urak-Lawoi, a Southeast Asian tribal population. Among the Urak-Lawoi, the kathoeys, androphilic men who dress and behave as women, were compared with heterosexuals. All populations were rated for societal norms on the expression of affiliative behavior. No greater kin altruism or avuncularity among the kathoeys or in homosexuals in either Mediterranean population was found. Greater avuncularity and kin-directed altruism, independent of sexual orientation, were found among the Urak-Lawoi, and these traits were the least prevalent among the Italians, corresponding to different societal norms. The increase in kin altruism and avuncularity was associated in all males with societal differences and norms on general altruism toward nonkin children, suggesting it is not an adaptive design to maintain homosexuality in humans.     

Ethnic,gender, and length‐of‐residency influences on sexual knowledge and attitudes

We examined potential differences in sexual knowledge and attitudes between 702 Canadian undergraduates of Asian (n = 356) and European (n = 346) ancestry. We also examined potential influences of length of residency in Canada on these variables among Asians, and the role of gender both across and within ethnic groups. The primary purpose was to examine whether length of exposure to North American sexual values influences sexual knowledge or attitudes among Asians living in Canada. Results revealed that compared to Europeans, Asians held more conservative sexual attitudes and demonstrated significantly less sexual knowledge. Recent Asian immigrants were significantly more likely than Canadian‐born or long‐term Canadian residents to hold conservative sexual attitudes on a number of sexuality items. Among Asians and Non‐Asians, males reported more negative attitudes toward homosexuals than did females; females held more conservative sexual attitudes toward uncommitted sexual relations than did males. The findings provide partial support for a cultural explanation of the frequently reported finding that, compared with North Americans, Asians are more restricted in their expression of sexuality.